Ron Barshop on LinkedIn: Having lost and kept off 15% of my peak for almost 6 years I’m a fan of… (2024)

Gary Taubes the author of Rethinking Diabetes (2024), The Case Against Sugar (2016), Why We Get Fat and What to Do About It (2011) and Good Calories, Bad Calories (2007), published as The Diet Delusion in the UK. Taubes is the recipient of a Robert Wood Johnson Foundation Investigator Award in Health Policy Research, and has won numerous other awards for his journalism. These include the International Health Reporting Award from the Pan American Health Organization and the National Association of Science Writers Science in Society Journalism Award, which he won in 1996, 1999 and 2001. (He is the first print journalist to win this award three times.) Taubes graduated from Harvard College in 1977 with an S.B. degree in applied physics, and received an M.S. degree in engineering from Stanford University (1978) and in journalism from Columbia University (1981).https://lnkd.in/gNUqbvqnFrom his new book…“The history of diabetes is marked by the recurrence of certain ideaswhich rise, decline and disappear, only to make a new appearanceand go through a similar cycle again in an altered form, and a newgeneration. This is notably true of trends in diet.”­ Rollin Woodyatt,“Round Table Conference on Diabetes Mellitus. Dietary Trends,” 1934“Diet has always generated passion, and passion in science is aninfallible marker of lack of evidence.”­ Lynn Sawyer and Edwin Gale,“Diet, Delusion and Diabetes,” 2009https://lnkd.in/geKMXeV2 This episode is brought to you by Redirect Health Here’s Your Free report -How to Slash Healthcare Costshttps://lnkd.in/gfNdnS8T

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Nordics and Israelis. Happiest on earth. USA drops out of Top 20. What’s corporate h.care got to do with it? The Dream is dying killed by healthcare. h/t Dave Chase, Health Rosetta-discovering archaeologist Excerpt… the young are now, in 2021-2023, the least happy age group," according to the new report. "This is a big change from 2006-2010, when the young were happier than those in the midlife groups, and about as happy as those aged 60 and over. For the young, the happiness drop was about three-quarters of a point, and greater for females than males."https://lnkd.in/g6q7RaD3

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Sorry Retailers/Employers about our dumb social experiments. ❤️Gav and The Can’t Shoot Straight Gang

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#Foodprescriptions helped people lower blood pressure and lose weight. How’s that for a novel approach v pill slinging?h/t Hippocrates 400 AD. -Let food be thy medicine. Excerpt A new kind of prescription could help you eat your way to better #hearthealth, with doctor-recommended foods and money to buy them.The new research looked at data from nearly 4,000 people, including 1,817 children, from low-income neighborhoods in 12 different states, including California, Texas, Florida, New York, and Minnesota. Participants either had or were at risk of #cardiovascular problems, and were provided with #nutritional classes on healthy eating habits.They were also given money specifically to buy fruits and veggies from grocery stores and farmers markets. The amount of money was about $63 per month on average, but varied by location, and in some cases was based on the number of people per household, ranging from $15 up to $300 (for a large family) per month. Participants stayed on the programs for an average of six months. In that time, they reported eating more fruits and veggies: about a quarter cup more per day for children, and nearly one cup more per day for adults. Food prescriptions also significantly improved measures of heart health like blood pressure, blood sugar levels, and body mass index, according to the study results, published August 29 in the journal Circulation: Cardiovascular Quality and Outcomes.

Can Big Retail recruit whitecoats when▪️ VillageMD (VBC/FFS)closes 160 stores paired with $7.8b in write downs by investor The Cigna Group and Walgreens then pronto…▪️Walmart (FFS) Health yanks the plug on 46 clinics then badabing… ▪️ Dollar General ends the mobile clinic deal with DocGo 3 cousins on banana peels this Q alone. CVS Health (VBC/FFS) says hell yeah. Oak Street Health is way better. Faster. Cheaper. Smarter. Minute Clinic-CVS -is equally awesome. Buuuut the CVS NPS is 13. Oak Steet negative 41. Not worthy of the optimism. MinuteClinic is 81. Which doesn’t match the boots on the ground reports from several clinicians. https://lnkd.in/g_q5ftcahttps://lnkd.in/gC6pZfcgDirect primary care nationals are in the 88-98 range by comparison. And 63% of med students hope to never see a patient. Nurses in school are about the same sad %. Retail primary care gives a vibe like a badly written soap opera at best the past 90 days. A Greek tragedy at worst. Will docs and nurses jumping ship massively out of Big Systems consider this a safer kinder retailer than the infamous burnout factory they are leaving ? Or just skip the whole experiment? That’s the operative Big Q. Wouldn’t want to be the lead recruiter no matter how many massive bonus checks I kept in petty cash drawers. Excerpt85% of Americans are within five miles, so we're locally embedded into the communities. That's important as we think about that ability to engage with healthcare on a national scale, but locally delivered," Chaguturu said.He added, "To have a national scale of locally delivered healthcare system is really important and pharmacy is the most frequent interaction in healthcare. We have five million people engaging and coming into a CVS Pharmacy every single day. That gives us an incredible opportunity to engage, and pharmacists are one of the most trusted individuals in healthcare," he said.The company operates nearly 10,000 drugstore locations across the country and more than 1,100 MinuteClinics. CVS also is the parent company of major health insurer Aetna, which has 25 million members, and pharmacy benefit manager CVS Caremark.The healthcare company has been investing heavily in building out its care delivery business.CVS spent nearly $20 billion to pick up Signify Health and Oak Street Health last year. It then rebranded its health services business to "CVS Healthspire" as it plots its long-term growth strategy. Healthspire encompasses CVS' pharmacy services business, its care delivery assets, including home health company Signify Health and Medicare-focused primary care player Oak Street Health, as well as its new Cordavis operationhttps://lnkd.in/ga4v6zZm

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Where greed is impossible. #DPC. Not FFS. Not even VBC. How are any of the nationals and regionals able to game the poor, tax status , board charters,community mandates when they collect pmpm(per member per month) from employers who demand top tier #primarycare, #msk and #behavioralhealth #virtualcare and #navigation with data feedback unseen in legacy care? There’s no one to game. Everyone is treated the same chronic or healthy. Poor or rich. There’s nowhere to hide in advanced direct care. Now that’s a future where everyone wins. www.PrimaryCareCures.com brought you by by Redirect Health https://lnkd.in/gfNdnS8T

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Another retail #primarycare hit. Rural Mobile clinics get world class NPS and rock bottom volume. Praying for walk in volume turns out not to be a recurring revenue model. At least this was not a black hole capex suck as other retailers have experienced. If Big retail can’t deliver a decent model like DPC right after all the VBC/ FFS whoops who does that leave us with ? Darth Vader. Excerpt Dollar General and DocGo have mutually decided to end their mobile clinic pilot program 18 months after its launch, a spokesperson for Dollar General confirmed to Becker's.In January 2023, Dollar General and DocGo launched the pilot with three mobile clinics in three Tennessee locations. The mobile sites, set up in Dollar General parking lots, offered preventive care, urgent care and chronic condition management services in partnership with DocGo On-Demand. Despite their location in a federally designated primary care shortage area, many customers passed over the clinic, KFF Health News said in an Oct. 4 report. After the first 10 months, about 1,000 patients had been seen in the clinics at Dollar General sites or community events. The pilot was part of Dollar General's health initiative, dubbed DG | Wellbeing brand, and accepted Medicaid/TennCare, Medicare and certain plans under major health insurers, with flat rates starting at $69 for those without insurance. "DocGo will use the actionable data, mobile clinic program structure and resources from this pilot to inform other programs, including its expanding mobile clinic and in-home healthcare partnerships with health plans," a spokesperson for the company said in a statement.Despite pulling the plug on the program, DocGo said patients reported a positive experience in receiving quality health care and friendly service at the mobile clinics. "The program consistently earned a net promoter score above 90% based on patient feedback. DocGo worked with the pilot program's patients to transition to receiving care from other local resources," according to a company spokesperson.Dollar General said it remains committed to providing access to basic health and wellness products in its more than 20,000 stores. https://lnkd.in/g7PM4Nch.

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35m of 161m employed have access to same day or next day #primarycare through #DPC which is doubling every 30 months. So 22% is 44% of all workers EOY 2026. This direct #onsite or #nearsite #fencesite #mobile or #virtual increasingly has Msk and behavioral health baked in. Zero🔺Academic studies🔺National press🔺Marches/pitchforks needed. It’s v real based on interviews w CEOs and CMOs on my pod. Seems unstoppable at this point. Why?▪️NPS are near universally world class@88-98 scores. Members ❤️it. Legacy care is lucky to see the 20’s.Kaiser stands alone in the 40s. The bar is uber low in American Sickcare. ▪️Employers renew 98-99%. So they fund it. ▪️Payback is year one hard costs and month 4 including soft (#absenteeism🔻#retention #attraction #engagement all🔺) so it is de-risked. ▪️Waiting lists of #whitecoats vs Big Retail fat sign on bonuses. Federally funded Big System vacuuming independent docs. Who are fleeing that system designed factory medicine model. Med students say (63%) they hope to never see a patient. It’s just that bad. https://lnkd.in/gJE5dm_bMost (over 90%) jumbo employers are looking at this direct care model as an add on to medieval PPOs with medical-debt-gotcha-deductibles which has trapped a nice chunk of 100m+. About 10m get h.care #free or #nearfree at work through this model. It’s not all bleak.👌8 aims. Forget the quadruple aim. That’s so grandpa. And the best part -it’s a movement that’s ▪️colorblind▪️red/blue state blind▪️gender blind▪️orientation blind ▪️religion blind▪️blue/white collar blind. This is a future where everyone wins…www.PrimaryCareCures.com

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According to a survey by ConsumerAffairs, #California ranks as the No. 1 state people are moving from, ahead of New York, New Jersey and Illinois. Thank goodness for free everything if you’re a smash and grab crew. That keeps some there no matter what. I mean free. It’s the greatest word in Websters (or any urban)dictionary.#Texas ❤️💛🩷💙🩶🤎💚💗🧡💜🩵🤍♥️your Cali HQ,and your hardworking family oriented types fed up with ivory tower,Ivy League suits running amok in your wallets. Our legislature meets 4 months every 2 years vs year round. Part of the secret sauce.

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